The Development of Non-verbal Communication Instruction Program for Children with Severe Motor Impairments

在本研究中，首先制定了一个计划，指导有严重运动障碍的儿童通过辅助沟通设备获得沟通技能。然后，通过三个患有魏德尼-霍夫曼病的儿童来检查该计划的效率。该项目是1996年为语言表达明显受限的魏德尼-霍夫曼病儿童制定的。它包括三个方面，“设计控制”，“字母学习”和“日常交流”。每个区域都被划分成一个个小步骤，并为每个孩子设定目标，让他们在日常生活中掌握使用电脑的沟通能力。这三个孩子实际上在1997年尝试了这个项目。结果，他们都获得了设计控制技能。此外，其中两人似乎改善了平假名的发音和语言表达。最后，该计划被重新评估，并根据研究的证据进行了部分修改。总之，未解决的问题，如将他们获得的技能应用到日常生活中，以及在项目的广泛实践中，必须在未来进一步研究。

In this study, at first, a program was developed which instructs children with severe motor impairments acquire communication skills through augmentative communication devises. Then, the efficiency of the program was examined through three children with Werdnig-Hoffmann disease.The program was elaborated in 1996 for the children with Werdnig-Hoffmann discase whose language expressions were remarkably limited. It consisted of three areas, "devise control", "letter-learning", and "daily communication". Each area was divided into small steps, and the goal was set up for each child to gain communication ability with computer use in the daily living. The three children actually tried the program in 1997. As a result, they all acquired the devise control skills. Besides, two of them appeared to have improved Hiragana sounds and language expressions. Finally, the program was reevaluated and was partly revised based on the evidence of the study.In conclusion, unsolved problems, such as application of their acquired skills to the daily living situations and extensive practice of the program, must be studied further in the future.